ZOLL E Series Monitor Defibrillator Rev C - Manual (Page 6)

Non-Interpretive 12-Lead ECG Monitoring
4 9650-1215-01 Rev. C
3. Locate the second intercostal space on the patient’s
right side, lateral to and just below the Angle of Louis.
4. Move your finger down two more intercostal spaces to
the fourth intercostal space which is the V1 position.
Note: When placing electrodes on female patients,
always place leads V3-V6 under the breast rather
than on the breast.
12-Lead Acquisition
The E Series unit begins pre-acquisition of 12-lead data
when you attach the electrodes to the patient, as follows:
1. Attach electrodes to the patient lead wires.
2. Attach lead wires and electrodes to the patient, refer
to “Electrode Placement” on page 3.
Note: Attach the V-lead cable to the 12-lead ECG
cable. When V-leads are not in use, ensure the V-
leads protective cap is plugged into the V-lead
connector.
3. Attach the 12-lead cable to the ECG connector at the
back of the E Series product.
Arrange the 12-lead cable such that it is neat and not
dangling or looped, and assure that it is not pulling on
individual electrodes.
4. Turn the selector switch to MONITOR mode.
5. If PADS or PADDLES are selected, select Lead I. (You
must select leads to obtain a 12-lead printout.)
6. To print a 12-lead report only, press and hold the
RECORDER button for 3 seconds (applicable only
when the configuration option ‘Print 12 Lead 4x3’ is set
to 1 Copy or 2 Copies).
The unit begins printout of the 12-lead report. This
report consists of 10 seconds of 12-lead ECG data
printed in four staggered 2.5 second segments.
Note: If the V-leads are not in use, pressing and holding
the RECORDER button for 3 seconds causes a 2
x 3 report to be printed. This report consists of 5
seconds of ECG data printed in two staggered
2.5 second segments (lead I, II and III, and lead
aVR, aVL, and aVF).
To transmit the 12-lead report to a fax machine, refer to
“12-Lead ECG Data Transmission” on this page.
Physiological Monitoring
When the E Series device is turned to MONITOR, the
physiological monitoring menu is displayed with the
following softkeys: Param, Wave 2, ID#, Alarms and
12 Lead.
If you enter 12-lead monitoring with two (2) waveforms
displayed, the waveform remains displayed on the
screen during the 12-lead monitoring. To remove the
second waveform prior to entering 12-lead monitor
mode, press the Wave 2 softkey.
12 Lead Softkey
For AED units, the 12 Lead softkey is third from the left.
When you press the 12 Lead softkey, the following
screen appears:
Acquire Softkey
For the E Series to produce a formatted ECG recording,
press the Acquire softkey. The message ACQUIRING
ECG displays and the Acquire softkey changes to Halt.
Press the Halt softkey during acquisition to stop the data
collection process. The monitor displays an
ACQUISITION HALTED message and changes the left-
most softkey back to Acquire.
During the data acquisition phase, the unit performs a
lead status check to ensure all leads are properly
connected and that 10 seconds of valid data have been
acquired.
If one or more of the V-leads is not properly attached to
the patient, an ECG VX LEAD OFF message is
displayed on the screen ("VX" indicates the specific
V-leads that are not attached to the patient).
If one or more of the limb leads is not properly attached
to the patient, an ECG LEAD OFF message is displayed
on the screen and a dashed line appears on the tracing.
When 10 seconds of valid ECG data have been
acquired, the message ACQUISITION COMPLETE is
displayed and the unit proceeds to the transmission
screen if it is configured to transmit after 12-lead.
12-Lead ECG Data Transmission
The E Series unit can be configured to transmit 12-lead
ECG records to a fax machine.
In order to fax using the 2x6 format, set the 12 Lead Fax
Format configuration option to 2x6, and the Auto
Transmit After 12 Lead configuration option to Yes. Refer
to the E Series Configuration Guide for instructions on
setting these options.
Be sure to fax immediately after acquisition, as the 2x6
fax image is not stored in the patient records. Patient
data can, however, be reproduced in 4x3 format at a
later time.